Organization
DUBOLS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YEWANDE AWOYEMI (ADMINISTRATOR)
(703) 312-1001
Entity
Organization
Contact information
Practice address
14440 CHERRY LANE CT STE 101, LAUREL, MD 20707-4946
(301) 497-8968
(301) 490-8668
Mailing address
14440 CHERRY LANE CT STE 101, LAUREL, MD 20707-4946
(301) 497-8968
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WC1500X
Community Health Registered Nurse
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421136700
—
MD
Enumeration date
01/30/2023
Last updated
02/07/2023
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